MR. GUS LUIS GUTIERREZ (NPI# 1902997000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902997000 |
| Entity Type | Individual |
| Full Name | MR. GUS LUIS GUTIERREZ |
| Credential | PT, DPT,OCS, FAAOMPT |
| Practice Address |
1014 West St. Clare Blvd Suite 1050 Gonzales LA 70737 |
| Practice Telephone | 2257432060 |
| Practice Fax Number | 2257432065 |
| Mailing Telephone | 2257432060 |
| Mailing Fax Number | 2257432065 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
00688 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1014 WEST ST. CLARE BLVD SUITE 1050 |
| City | GONZALES |
| State | LA |
| Zip Code | 70737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861497026 | Stephen Bernard Manale | Surgery | 1014 West St. Clare Blvd, Suite 3015, Gonzales, LA 70737-2141 | 2005-06-15 |
| 1780775627 | Renee Diez Martin | Physical Therapist | 1014 West St. Clare Blvd, Suite 1050, Gonzales, LA 70737 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265840516 | Benjamin Michael Wilt | Physical Therapist | 13334 W Mill Grove Dr, Gonzales, LA 70737-6564 | 2014-07-31 |
| 1801081799 | Kimberly Cyr | Physical Therapist | 625 S Burnside Ave, Unit #9, Gonzales, LA 70737-3400 | 2007-09-13 |
| 1083641989 | Jamie George Smith | Physical Therapist | 2012 S. Burnside Ave., Suite B, Gonzales, LA 70737-4637 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898990 | Johnnie L Kleinschmidt | Physical Therapist | 1890 W Gauthier Rd Ste 125, Lake Charles, LA 70605-7180 | 2020-07-13 |
| 1740813534 | R R Rehab LLC | Physical Therapist | 3960 Florida St Ste 3, Mandeville, LA 70448-3340 | 2020-02-19 |
| 1871151399 | Amy Laura Stallings | Physical Therapist | 1135 Expressway Dr Ste 100a, Pineville, LA 71360-6666 | 2019-05-30 |
| 1467016428 | Grant Anthony Falcon | Physical Therapist | 2531 Dulles Dr, Lafayette, LA 70506-2660 | 2019-04-25 |
| 1184192254 | William Keith Mills II | Physical Therapist | 7872 Anselmo Ln Ste B, Baton Rouge, LA 70810-1101 | 2018-11-07 |
| 1225516982 | Mallory Kathryn Lott | Physical Therapist | 234 Loyola Ave Ste 302, New Orleans, LA 70112-2026 | 2018-08-03 |
| 1003315607 | Matthew Alan Armstrong | Physical Therapist | 2530 Bert Kouns Industrial Loop Ste 148, Shreveport, LA 71118-6114 | 2018-02-08 |
| 1972040228 | Lauren Chappetta King | Physical Therapist | Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 | 2017-01-25 |
| 1770031197 | Jade Jones | Physical Therapist | 2310 Commons Ct., Unit 2, Ruston, LA 71270 | 2016-09-14 |
| 1316353592 | Blake William Brown | Physical Therapist | 312 Grammont St Ste 302, Monroe, LA 71201-7403 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.